HomeAnswersUrologyerectile dysfunctionI am a 70-year-old male suffering from ED and under medication for blood pressure and cholesterol. What is causing this?

What could cause erectile dysfunction in a 70-year-old male taking blood pressure and cholesterol medication?

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Published At December 24, 2022
Reviewed AtAugust 25, 2023

Patient's Query

Hi doctor,

I am a 70-year-old male in good health. I have a problem with ED. Would my medication cause this or make the situation worse? I am taking Prilosec 20 mg daily for acid reflux, Atenolol 50 mg for blood pressure, Zocor 40 mg daily, also Tricor 145 mg daily for cholesterol. I have taken these drugs over 20 years. When I ask my family doctor about these, he says I do not need to have sex and said that my testosterone level was low but that is normal now. I am thinking about finding a new doctor. I have tried Viagra Celias and Stendra. But that could be of little or no help other than giving headaches. I have VED prescribed by a urologist. I do not want injections that look awful. What can I do? Can acoustic wave therapy help?

Hi,

Welcome to icliniq.com.

Please let me know your testosterone results. If the values are low, we can use hormone replacement. If you were taking the same medications for 20 years without any problems, they are not likely to be caused by ED (erectile dysfunction). High blood pressure, and cholesterol for years can clog the arteries supplying blood to the penis, so this may be a cause for your ED (erectile dysfunction). A similar thing may be happening to your heart arteries. So you need to get your heart checked if not done recently. Now for treatment, if the usual medicines do not work, add supplements containing L-arginine. These powder sachets are to be taken with water once daily for 45 days. This removes any arginine deficiency. The next options are penile injections. These are easy, not painful, and can be taken as needed. If you do not want to take injections, an option is a vacuum device. This sucks blood into the penis and then you place a ring at the base to keep it erect, do your thing and then remove the ring. Sound waves or lithotripsy are options of questionable benefit.

Take care.

Patient's Query

Hi doctor,

I have tried the VED device. I will get a testosterone check and let you know. How does hormone treatment work?

Hi,

Welcome to icliniq.com.

If there are low testosterone levels, we can give hormone replacement by pills, gel, or three monthly injections. The injections are best for long-term treatment. The gel is good for the short term. Pills have variable absorption.

Let me know the results.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saurabh Subhash Pandya
Dr. Saurabh Subhash Pandya

Urology

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